Individual provider · Type 1 NPI
Gordon Charles Siek, PhD
Clinical Laboratory Director (Non-physician) · Belmont, MA
NPI number
1730705476
Active
Practice location
11 Clarendon Rd
Belmont, MA 02478-3719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
About NPI 1730705476
Gordon Charles Siek, PhD's National Provider Identifier is 1730705476, issued on Jun 18, 2020. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Belmont, MA. The record was last updated on Aug 3, 2026.